两孔法腹腔镜治疗先天性肥厚性幽门狭窄  

Two-port laparoscopic pyloromyotomy for congenital hypertrophi cpyloric stenosis

作　　者：任红霞[1] 陈兰萍[1] 陈淑云[1] 韩湘珍[1] 

机构地区：[1]山西省儿童医院外科,太原030013

出　　处：《中国微创外科杂志》2005年第9期706-707,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨两孔法腹腔镜治疗先天性肥厚性幽门狭窄的可行性.方法对21例术前明确诊断先天性肥厚性幽门狭窄的患儿,经二孔法腹腔镜治疗.于脐环下缘置5 mm trocar,放入腹腔镜,于右侧肋缘下锁骨中线处做3 mm trocar,放入微型电钩及弯钳进行操作.结果21例患儿均无中转开腹手术.手术时间23～65 min,平均31.3 min.术后4～6 d出院.无并发症.18例随访2～7个月,平均3.2月,所有患儿均生长发育正常.结论二孔腹腔镜治疗先天性肥厚性幽门狭窄是一种行之有效的方法.Objective To explore the feasibility of two-port laparoscopy in the treatment of congenital hypertrophic pyloric stenosis, Methods A total of 21 infants with confirmatively diagnosed congenital hypertrophic pyloric stenosis were given a two-port laparoscopic pyloromyotomy. The procedure was performed using two trocars： a5 mm trocar at the lower border of the umbilical ring was placed for the insertion of camera, and a 3 mm trocar was introduced below the costal margin at the midclavicular line to pass the hook electrode and curved forceps. Results No conversions to open surgery were required. The operation time was 23-65 min （mean, 31.3 min）. The patients were discharged from hospital at 4-6 postoperative days. No complications occurred. Follow-up for 2-7 months （mean, 3.2 months） showed a normal development in all the 21 patients. Conclusions Two-port laparoscopic treameat for congenital hypertrophic pyloric stenosis in infants is effective.

关 键 词：先天性肥厚性幽门狭窄 两孔法 腹腔镜 

分 类 号：R726.5[医药卫生—儿科]